DR. AMIR MOHSEN MAHOOZI (NPI# 1477609923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477609923 |
| Entity Type | Individual |
| Full Name | DR. AMIR MOHSEN MAHOOZI |
| Credential | D.M.D |
| Practice Address |
402 Washington St Somerville MA 02143-3823 |
| Mailing Address |
15 Valentine St Apt 10 Cambridge MA 02139-4042 |
| Practice Telephone | 6176664444 |
| Mailing Telephone | 6179703682 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
19312 | MA | Dental Providers |
| Street Address |
402 WASHINGTON ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920108 | Ghassan Khoury Dmd, PC | Dentist | 402 Washington St, Somerville, MA 02143-3823 | 2020-07-24 |
| 1053628032 | Mohammad Hossein Dashti | Dentist | 402 Washington St, Somerville, MA 02143-3823 | 2010-09-11 |
| 1861654691 | Ghassan Khoury Dmd PC | Dentist | 402 Washington St, Somerville, MA 02143-3823 | 2008-07-02 |
| 1912106303 | Goli Kay Parsi | Dentist | 402 Washington St, Somerville, MA 02143-3823 | 2007-07-16 |
| 1063555019 | Theoni A Kazou | Dentist | 402 Washington St, Somerville, MA 02143-3823 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114943966 | Sofia A Ostrer | Dentist | 30 College Ave, Suite 201, Somerville, MA 02114 | 2006-07-14 |
| 1669941696 | Kim and Kim Dds LLC | Dentist | 10 N Gaston Ave, Somerville, NJ 08876-2434 | 2018-11-20 |
| 1134555667 | Min H Kim | Dentist | 10 N Gaston Ave, Somerville, NJ 08876 | 2013-09-16 |
| 1518269810 | West Somerville Dental | Dentist | 124 College Ave, Somerville, MA 02144-1919 | 2010-11-19 |
| 1437316825 | Periodontics Dental Implants of Greater Boston | Dentist | 30 College Ave, Suite 201, Somerville, MA 02144-1914 | 2008-05-22 |
| 1295930717 | Tat Chiang Dmd LLC | Dentist | 10 N Gaston Ave, 2nd Floor, Somerville, NJ 08876-2434 | 2007-06-15 |
| 1588792758 | Martin H Cornick Professional Association | Dentist | 210 E Main St, Somerville, NJ 08876-3019 | 2007-03-01 |
| 1346378585 | Peter Gregg Cornick | Dentist | 210 E Main St, Somerville, NJ 08876-3019 | 2007-03-01 |
| 1982730594 | Tat Fai Chiang | Dentist | 10 N Gaston Ave, Somerville, NJ 08876-2434 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1437700218 | Mansour Alasiri | Dentist | 650 Albany St Ste 341, Boston, MA 02118-2518 | 2019-09-24 |
| 1508417338 | Bushra Aljahdali | Dentist | 650 Albany St Fl 3, Boston, MA 02118-2518 | 2019-09-23 |
| 1164077152 | North Shore Smiles LLC | Dentist | 293 Humphrey Str., Swampscott, MA 01907 | 2019-08-06 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1043863533 | Ricardo Lazaro Pascual | Dentist | 1 Kneeland St Dept, Boston, MA 02111-1527 | 2019-07-23 |
| 1568014827 | David B Rosen Dmd | Dentist | 57 Bedford St Ste 110, Lexington, MA 02420-4550 | 2019-07-16 |
| 1396209961 | Gabriel Boustani Dmd PC | Dentist | 822 Boylston St Ste 200, Chestnut Hill, MA 02467-2504 | 2019-01-28 |
| 1568935153 | Periodontology Associates of Concord, Pllc | Dentist | 290 Baker Ave Ste 3, Concord, MA 01742-2189 | 2019-01-07 |
| 1467925057 | Periodontology Associates of Lexington, Pllc | Dentist | 35 Bedford St Ste 20, Lexington, MA 02420-4440 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.